首页|子宫内膜癌患者经腹腔镜手术治疗后并发下肢深静脉血栓的相关因素及其防控措施分析

子宫内膜癌患者经腹腔镜手术治疗后并发下肢深静脉血栓的相关因素及其防控措施分析

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目的 分析子宫内膜癌患者经腹腔镜手术治疗后并发下肢深静脉血栓的相关因素及其防控措施.方法 选择2020年3月—2023年7月于菏泽市牡丹人民医院行腹腔镜手术治疗的342例子宫内膜癌患者为研究对象,根据手术治疗后并发下肢深静脉血栓的情况分为发生组与未发生组.比较两组患者的各项临床资料,分析子宫内膜癌经腹腔镜手术治疗后并发下肢深静脉血栓的相关因素及其防控措施.结果 342例行腹腔镜手术治疗的子宫内膜癌患者中,静脉血栓发生组38例,未发生组304例,发生率为11.11%(38/342).两组的肿瘤分化程度、淋巴结转移、合并高血压、手术时间、术中出血量比较,组间差异有统计学意义(P<0.05).经Logistic回归分析检验结果显示,肿瘤分化程度、淋巴结转移、合并高血压、手术时间、术中出血量是子宫内膜癌患者经腹腔镜手术治疗后并发下肢深静脉血栓的相关因素(OR>1,P<0.05).结论 肿瘤分化程度、淋巴结转移、合并高血压、手术时间、术中出血量是子宫内膜癌患者经腹腔镜手术治疗后并发下肢深静脉血栓的相关因素.
Analysis of Related Factors and Prevention Measures of Lower Extremity Deep Venous Thrombosis in Patients with Endometrial Cancer after Laparoscopic Surgery
Objective To analyze the related factors and prevention measures of lower extremity deep venous thrombosis in patients with endometrial cancer after laparoscopic surgery. Methods A total of 342 patients with endometrial cancer who underwent laparoscopic surgery in Heze Mudan People's Hospital from March 2020 to July 2023 were selected as the research objects and were divided into an occurrence group and a non-occurrence group according to the complications of lower extremity deep vein thrombosis after surgical treatment. The clinical data of the two groups were compared and the related factors and prevention measures of lower extremity deep venous thrombosis in patients with endometrial cancer after laparoscopic surgery were analyzed. Results Among 342 patients with endometrial cancer who underwent laparoscopic surgery,38 cases occurred in the group of venous thrombosis and 304 cases did not,with an incidence of 11.11% (38/342). There were significant differences in the degree of tumor differentiation,lymph node metastasis,hypertension,operation time and intraoper-ative blood loss between the two groups (P<0.05). Logistic regression analysis showed that the degree of tumor differentiation,lymph node metastasis,combined hypertension,operation time,and intraoperative blood loss were the relevant factors for lower extremity deep venous thrombosis in patients with endometrial cancer after laparoscopic surgery (OR>1,P<0.05). Conclusion The degree of tumor differentiation,lymph node metastasis,hypertension,operation time and intraoperative blood loss are the related factors of lower extremity deep venous thrombosis in patients with endometrial cancer after laparoscopic surgery.

Endometrial cancerLaparoscopic surgeryLower extremity deep venous thrombosis

宋青青

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菏泽市牡丹人民医院门诊,山东菏泽 274000

子宫内膜癌 经腹腔镜手术 下肢深静脉血栓

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)